![]() ![]() ![]() You can control nighttime symptoms by taking asthma medicines as directed by your doctor. Treatment strategies in nocturnal asthma are similar to those used in persistent asthma, although dosing of medications to target optimum delivery during periods of nocturnal worsening is beneficial. Asthma triggers in the bedroom may increase the risk of nocturnal asthma and lost sleep. Many people wake up with asthma symptoms such as coughing or wheezing. An extensive body of research has demonstrated that nocturnal symptoms such as cough and dyspnea are accompanied by increases in airflow limitation, airway hyperresponsiveness, and airway inflammation. ![]() Nocturnal symptoms are a common part of the asthma clinical syndrome up to 75% of asthmatics are awakened by asthma symptoms at least once per week, and approximately 40% experience nocturnal symptoms on a nightly basis. Nocturnal asthma is defined by a drop in forced expiratory volume in 1 second (FEV1) of at least 15% between bedtime and awakening in patients with clinical and physiologic evidence of asthma. For this reason, LABAs are taken only in combination with an inhaled corticosteroid. Although they're effective, they've been linked to severe asthma attacks. Nocturnal asthma: underlying mechanisms and treatment Nocturnal asthma: underlying mechanisms and treatment They're used on a regular schedule to control moderate to severe asthma and to prevent nighttime symptoms. ![]()
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